Histopathology Research Template 🔬


1 Introduction

  • State the marker of interest, the study objectives, and hypotheses (Knijn, Simmer, and Nagtegaal 2015).1

2 Materials & Methods

Describe Materials and Methods as highlighted in (Knijn, Simmer, and Nagtegaal 2015).2

  • Describe patient characteristics, and inclusion and exclusion criteria

  • Describe treatment details

  • Describe the type of material used

  • Specify how expression of the biomarker was assessed

  • Describe the number of independent (blinded) scorers and how they scored

  • State the method of case selection, study design, origin of the cases, and time frame

  • Describe the end of the follow-up period and median follow-up time

  • Define all clinical endpoints examined

  • Specify all applied statistical methods

  • Describe how interactions with other clinical/pathological factors were analyzed


2.1 Header Codes

Codes for general settings.3

Setup global chunk settings4

knitr::opts_chunk$set(
    eval = TRUE,
    echo = TRUE,
    fig.path = here::here("figs/"),
    message = FALSE,
    warning = FALSE,
    error = FALSE,
    cache = FALSE,
    comment = NA,
    tidy = TRUE,
    fig.width = 6,
    fig.height = 4
)

Load Library

see R/loadLibrary.R for the libraries loaded.

source(file = here::here("R", "loadLibrary.R"))

2.2 Generate Fake Data

Codes for generating fake data.5

Generate Fake Data

This code generates a fake histopathological data. Some sources for fake data generation here6 , here7 , here8 , here9 , here10 , here11 , here12 , here13 , and here14 .

Use this code to generate fake clinicopathologic data

source(file = here::here("R", "gc_fake_data.R"))
wakefield::table_heat(x = fakedata, palette = "Set1", flip = TRUE, print = TRUE)


2.3 Import Data

Codes for importing data.15

Read the data

library(readxl)
mydata <- readxl::read_excel(here::here("data", "mydata.xlsx"))
# View(mydata) # Use to view data after importing

Add code for import multiple data purrr reduce


2.4 Study Population

2.4.1 Report General Features

Codes for reporting general features.16

Dataframe Report

# Dataframe report
mydata %>% select(-contains("Date")) %>% report::report(.)
The data contains 250 observations of the following variables:
  - ID: 250 entries: 001, n = 1; 002, n = 1; 003, n = 1 and 247 others
  - Name: 249 entries: Adiya, n = 1; Ahlani, n = 1; Ahlaysia, n = 1 and 246 others (1 missing)
  - Sex: 2 entries: Female, n = 134; Male, n = 115 (1 missing)
  - Age: Mean = 50.16, SD = 14.12, range = [25, 73], 1 missing
  - Race: 6 entries: White, n = 158; Hispanic, n = 37; Black, n = 28 and 3 others (1 missing)
  - PreinvasiveComponent: 2 entries: Absent, n = 201; Present, n = 48 (1 missing)
  - LVI: 2 entries: Absent, n = 152; Present, n = 98
  - PNI: 2 entries: Absent, n = 171; Present, n = 78 (1 missing)
  - Death: 2 levels: FALSE (n = 70); TRUE (n = 179) and missing (n = 1)
  - Group: 2 entries: Treatment, n = 127; Control, n = 122 (1 missing)
  - Grade: 3 entries: 3, n = 105; 1, n = 79; 2, n = 65 (1 missing)
  - TStage: 4 entries: 4, n = 109; 3, n = 62; 2, n = 51 and 1 other (1 missing)
  - Anti-X-intensity: Mean = 2.42, SD = 0.64, range = [1, 3], 1 missing
  - Anti-Y-intensity: Mean = 2.02, SD = 0.77, range = [1, 3], 1 missing
  - LymphNodeMetastasis: 2 entries: Absent, n = 148; Present, n = 101 (1 missing)
  - Valid: 2 levels: FALSE (n = 119); TRUE (n = 130) and missing (n = 1)
  - Smoker: 2 levels: FALSE (n = 129); TRUE (n = 120) and missing (n = 1)
  - Grade_Level: 3 entries: high, n = 104; low, n = 74; moderate, n = 71 (1 missing)
  - DeathTime: 2 entries: Within1Year, n = 149; MoreThan1Year, n = 101
mydata %>% explore::describe_tbl()
250 observations with 21 variables
18 variables containing missings (NA)
0 variables with no variance

2.5 Ethics and IRB

2.5.1 Always Respect Patient Privacy

Always Respect Patient Privacy
- Health Information Privacy17
- Kişisel Verilerin Korunması18


2.6 Define Variable Types

Codes for defining variable types.19

2.6.1 Find Key Columns

print column names as vector

dput(names(mydata))
c("ID", "Name", "Sex", "Age", "Race", "PreinvasiveComponent", 
"LVI", "PNI", "LastFollowUpDate", "Death", "Group", "Grade", 
"TStage", "Anti-X-intensity", "Anti-Y-intensity", "LymphNodeMetastasis", 
"Valid", "Smoker", "Grade_Level", "SurgeryDate", "DeathTime")

2.6.1.1 Find ID and key columns to exclude from analysis

See the code as function in R/find_key.R.

keycolumns <- mydata %>% sapply(., FUN = dataMaid::isKey) %>% as_tibble() %>% select(which(.[1, 
    ] == TRUE)) %>% names()
keycolumns
[1] "ID"   "Name"

2.6.2 Variable Types

Get variable types

mydata %>% select(-keycolumns) %>% inspectdf::inspect_types()
# A tibble: 4 x 4
  type             cnt  pcnt col_name  
  <chr>          <int> <dbl> <list>    
1 character         11  57.9 <chr [11]>
2 logical            3  15.8 <chr [3]> 
3 numeric            3  15.8 <chr [3]> 
4 POSIXct POSIXt     2  10.5 <chr [2]> 
mydata %>% select(-keycolumns, -contains("Date")) %>% describer::describe() %>% knitr::kable(format = "markdown")
.column_name .column_class .column_type .count_elements .mean_value .sd_value .q0_value .q25_value .q50_value .q75_value .q100_value
Sex character character 250 NA NA Female NA NA NA Male
Age numeric double 250 50.156627 14.1188634 25 39 51 63 73
Race character character 250 NA NA Asian NA NA NA White
PreinvasiveComponent character character 250 NA NA Absent NA NA NA Present
LVI character character 250 NA NA Absent NA NA NA Present
PNI character character 250 NA NA Absent NA NA NA Present
Death logical logical 250 NA NA FALSE NA NA NA TRUE
Group character character 250 NA NA Control NA NA NA Treatment
Grade character character 250 NA NA 1 NA NA NA 3
TStage character character 250 NA NA 1 NA NA NA 4
Anti-X-intensity numeric double 250 2.421687 0.6435878 1 2 3 3 3
Anti-Y-intensity numeric double 250 2.020080 0.7748559 1 1 2 3 3
LymphNodeMetastasis character character 250 NA NA Absent NA NA NA Present
Valid logical logical 250 NA NA FALSE NA NA NA TRUE
Smoker logical logical 250 NA NA FALSE NA NA NA TRUE
Grade_Level character character 250 NA NA high NA NA NA moderate
DeathTime character character 250 NA NA MoreThan1Year NA NA NA Within1Year

Plot variable types

mydata %>% select(-keycolumns) %>% inspectdf::inspect_types() %>% inspectdf::show_plot()

# https://github.com/ropensci/visdat
# http://visdat.njtierney.com/articles/using_visdat.html
# https://cran.r-project.org/web/packages/visdat/index.html
# http://visdat.njtierney.com/

# visdat::vis_guess(mydata)

visdat::vis_dat(mydata)

mydata %>% explore::explore_tbl()

2.6.3 Define Variable Types

2.6.3.1 Find character variables

characterVariables <- mydata %>% select(-keycolumns) %>% inspectdf::inspect_types() %>% 
    dplyr::filter(type == "character") %>% dplyr::select(col_name) %>% pull() %>% 
    unlist()

characterVariables
 [1] "Sex"                  "Race"                 "PreinvasiveComponent"
 [4] "LVI"                  "PNI"                  "Group"               
 [7] "Grade"                "TStage"               "LymphNodeMetastasis" 
[10] "Grade_Level"          "DeathTime"           

2.6.3.2 Find categorical variables

categoricalVariables <- mydata %>% dplyr::select(-keycolumns, -contains("Date")) %>% 
    describer::describe() %>% janitor::clean_names() %>% dplyr::filter(column_type == 
    "factor") %>% dplyr::select(column_name) %>% dplyr::pull()

categoricalVariables
character(0)

2.6.3.3 Find continious variables

continiousVariables <- mydata %>% dplyr::select(-keycolumns, -contains("Date")) %>% 
    describer::describe() %>% janitor::clean_names() %>% dplyr::filter(column_type == 
    "numeric" | column_type == "double") %>% dplyr::select(column_name) %>% dplyr::pull()

continiousVariables
[1] "Age"              "Anti-X-intensity" "Anti-Y-intensity"

2.6.3.4 Find numeric variables

numericVariables <- mydata %>% select(-keycolumns) %>% inspectdf::inspect_types() %>% 
    dplyr::filter(type == "numeric") %>% dplyr::select(col_name) %>% pull() %>% unlist()

numericVariables
[1] "Age"              "Anti-X-intensity" "Anti-Y-intensity"

2.6.3.5 Find integer variables

integerVariables <- mydata %>% select(-keycolumns) %>% inspectdf::inspect_types() %>% 
    dplyr::filter(type == "integer") %>% dplyr::select(col_name) %>% pull() %>% unlist()

integerVariables
NULL

2.6.3.6 Find list variables

listVariables <- mydata %>% select(-keycolumns) %>% inspectdf::inspect_types() %>% 
    dplyr::filter(type == "list") %>% dplyr::select(col_name) %>% pull() %>% unlist()
listVariables
NULL

2.6.3.7 Find date variables

is_date <- function(x) inherits(x, c("POSIXct", "POSIXt"))

dateVariables <- names(which(sapply(mydata, FUN = is_date) == TRUE))
dateVariables
[1] "LastFollowUpDate" "SurgeryDate"     

2.7 Overview the Data

Codes for overviewing the data.20

2.7.1 View Data

View(mydata)
reactable::reactable(data = mydata, sortable = TRUE, resizable = TRUE, filterable = TRUE, 
    searchable = TRUE, pagination = TRUE, paginationType = "numbers", showPageSizeOptions = TRUE, 
    highlight = TRUE, striped = TRUE, outlined = TRUE, compact = TRUE, wrap = FALSE, 
    showSortIcon = TRUE, showSortable = TRUE)

2.7.2 Overview / Exploratory Data Analysis (EDA)

Summary of Data via summarytools 📦

summarytools::view(summarytools::dfSummary(mydata %>% select(-keycolumns)))
if (!dir.exists(here::here("out"))) {
    dir.create(here::here("out"))
}

summarytools::view(x = summarytools::dfSummary(mydata %>% select(-keycolumns)), file = here::here("out", 
    "mydata_summary.html"))

Summary via dataMaid 📦

if (!dir.exists(here::here("out"))) {
    dir.create(here::here("out"))
}

dataMaid::makeDataReport(data = mydata, file = here::here("out", "dataMaid_mydata.Rmd"), 
    replace = TRUE, openResult = FALSE, render = FALSE, quiet = TRUE)

Summary via explore 📦

if (!dir.exists(here::here("out"))) {
    dir.create(here::here("out"))
}

mydata %>% select(-dateVariables) %>% explore::report(output_file = "mydata_report.html", 
    output_dir = here::here("out"))

Glimpse of Data

glimpse(mydata %>% select(-keycolumns, -dateVariables))
Observations: 250
Variables: 17
$ Sex                  <chr> "Female", "Female", "Female", "Male", "Male", "F…
$ Age                  <dbl> 33, 43, 47, 68, 53, 51, 56, 47, 55, 36, 68, 68, …
$ Race                 <chr> "White", "White", "Black", "Asian", "Hispanic", …
$ PreinvasiveComponent <chr> "Absent", "Absent", "Absent", "Absent", "Present…
$ LVI                  <chr> "Absent", "Absent", "Present", "Absent", "Absent…
$ PNI                  <chr> "Present", "Present", "Absent", "Present", "Pres…
$ Death                <lgl> TRUE, TRUE, TRUE, TRUE, TRUE, TRUE, TRUE, FALSE,…
$ Group                <chr> "Treatment", "Control", "Control", "Control", "T…
$ Grade                <chr> "1", "3", "1", "3", "3", "3", "3", "3", "2", "3"…
$ TStage               <chr> "2", "2", "4", "2", "4", "3", "4", "4", "1", "3"…
$ `Anti-X-intensity`   <dbl> 2, 1, 3, 2, 2, 3, 3, 1, 2, 3, 3, 3, 3, 3, 2, 3, …
$ `Anti-Y-intensity`   <dbl> 3, 3, 2, 2, 1, 2, 1, 2, 1, 2, 2, 2, 2, 1, 1, 3, …
$ LymphNodeMetastasis  <chr> "Absent", "Absent", "Present", "Absent", "Absent…
$ Valid                <lgl> TRUE, TRUE, FALSE, TRUE, FALSE, FALSE, TRUE, FAL…
$ Smoker               <lgl> FALSE, TRUE, TRUE, FALSE, FALSE, FALSE, TRUE, FA…
$ Grade_Level          <chr> "moderate", "high", "moderate", "low", "moderate…
$ DeathTime            <chr> "Within1Year", "Within1Year", "Within1Year", "Wi…
mydata %>% explore::describe()
               variable type na na_pct unique min  mean max
1                    ID  chr  0    0.0    250  NA    NA  NA
2                  Name  chr  1    0.4    250  NA    NA  NA
3                   Sex  chr  1    0.4      3  NA    NA  NA
4                   Age  dbl  1    0.4     50  25 50.16  73
5                  Race  chr  1    0.4      7  NA    NA  NA
6  PreinvasiveComponent  chr  1    0.4      3  NA    NA  NA
7                   LVI  chr  0    0.0      2  NA    NA  NA
8                   PNI  chr  1    0.4      3  NA    NA  NA
9      LastFollowUpDate  dat  1    0.4     13  NA    NA  NA
10                Death  lgl  1    0.4      3   0  0.72   1
11                Group  chr  1    0.4      3  NA    NA  NA
12                Grade  chr  1    0.4      4  NA    NA  NA
13               TStage  chr  1    0.4      5  NA    NA  NA
14     Anti-X-intensity  dbl  1    0.4      4   1  2.42   3
15     Anti-Y-intensity  dbl  1    0.4      4   1  2.02   3
16  LymphNodeMetastasis  chr  1    0.4      3  NA    NA  NA
17                Valid  lgl  1    0.4      3   0  0.52   1
18               Smoker  lgl  1    0.4      3   0  0.48   1
19          Grade_Level  chr  1    0.4      4  NA    NA  NA
20          SurgeryDate  dat  1    0.4    221  NA    NA  NA
21            DeathTime  chr  0    0.0      2  NA    NA  NA

Explore

explore::explore(mydata)

2.7.3 Control Data

Control Data if matching expectations

visdat::vis_expect(data = mydata, expectation = ~.x == -1, show_perc = TRUE)

visdat::vis_expect(mydata, ~.x >= 25)

See missing values

visdat::vis_miss(airquality, cluster = TRUE)

visdat::vis_miss(airquality, sort_miss = TRUE)

xray::anomalies(mydata)
$variables
               Variable   q qNA  pNA qZero pZero qBlank pBlank qInf pInf
1                Smoker 250   1 0.4%   129 51.6%      0      -    0    -
2                 Valid 250   1 0.4%   119 47.6%      0      -    0    -
3                 Death 250   1 0.4%    70   28%      0      -    0    -
4                   Sex 250   1 0.4%     0     -      0      -    0    -
5  PreinvasiveComponent 250   1 0.4%     0     -      0      -    0    -
6                   PNI 250   1 0.4%     0     -      0      -    0    -
7                 Group 250   1 0.4%     0     -      0      -    0    -
8   LymphNodeMetastasis 250   1 0.4%     0     -      0      -    0    -
9                 Grade 250   1 0.4%     0     -      0      -    0    -
10     Anti-X-intensity 250   1 0.4%     0     -      0      -    0    -
11     Anti-Y-intensity 250   1 0.4%     0     -      0      -    0    -
12          Grade_Level 250   1 0.4%     0     -      0      -    0    -
13               TStage 250   1 0.4%     0     -      0      -    0    -
14                 Race 250   1 0.4%     0     -      0      -    0    -
15     LastFollowUpDate 250   1 0.4%     0     -      0      -    0    -
16                  Age 250   1 0.4%     0     -      0      -    0    -
17          SurgeryDate 250   1 0.4%     0     -      0      -    0    -
18                 Name 250   1 0.4%     0     -      0      -    0    -
19                  LVI 250   0    -     0     -      0      -    0    -
20            DeathTime 250   0    -     0     -      0      -    0    -
21                   ID 250   0    -     0     -      0      -    0    -
   qDistinct      type anomalous_percent
1          3   Logical               52%
2          3   Logical               48%
3          3   Logical             28.4%
4          3 Character              0.4%
5          3 Character              0.4%
6          3 Character              0.4%
7          3 Character              0.4%
8          3 Character              0.4%
9          4 Character              0.4%
10         4   Numeric              0.4%
11         4   Numeric              0.4%
12         4 Character              0.4%
13         5 Character              0.4%
14         7 Character              0.4%
15        13 Timestamp              0.4%
16        50   Numeric              0.4%
17       221 Timestamp              0.4%
18       250 Character              0.4%
19         2 Character                 -
20         2 Character                 -
21       250 Character                 -

$problem_variables
 [1] Variable          q                 qNA               pNA              
 [5] qZero             pZero             qBlank            pBlank           
 [9] qInf              pInf              qDistinct         type             
[13] anomalous_percent problems         
<0 rows> (or 0-length row.names)
xray::distributions(mydata)
================================================================================

[1] "Ignoring variable LastFollowUpDate: Unsupported type for visualization."

[1] "Ignoring variable SurgeryDate: Unsupported type for visualization."

          Variable p_1 p_10 p_25 p_50 p_75 p_90 p_99
1 Anti-X-intensity   1    2    2    3    3    3    3
2 Anti-Y-intensity   1    1    1    2    3    3    3
3              Age  25 30.8   39   51   63   69   72

2.7.4 Explore Data

Summary of Data via DataExplorer 📦

DataExplorer::plot_str(mydata)
DataExplorer::plot_str(mydata, type = "r")
DataExplorer::introduce(mydata)
# A tibble: 1 x 9
   rows columns discrete_columns continuous_colu… all_missing_col…
  <int>   <int>            <int>            <int>            <int>
1   250      21               18                3                0
# … with 4 more variables: total_missing_values <int>, complete_rows <int>,
#   total_observations <int>, memory_usage <dbl>
DataExplorer::plot_intro(mydata)

DataExplorer::plot_missing(mydata)

Drop columns

mydata2 <- DataExplorer::drop_columns(mydata, "TStage")
DataExplorer::plot_bar(mydata)

DataExplorer::plot_bar(mydata, with = "Death")

DataExplorer::plot_histogram(mydata)



3 Statistical Analysis

Learn these tests as highlighted in (Schmidt et al. 2017).21


4 Results

Write results as described in (Knijn, Simmer, and Nagtegaal 2015)22

  • Describe the number of patients included in the analysis and reason for dropout

  • Report patient/disease characteristics (including the biomarker of interest) with the number of missing values

  • Describe the interaction of the biomarker of interest with established prognostic variables

  • Include at least 90 % of initial cases included in univariate and multivariate analyses

  • Report the estimated effect (relative risk/odds ratio, confidence interval, and p value) in univariate analysis

  • Report the estimated effect (hazard rate/odds ratio, confidence interval, and p value) in multivariate analysis

  • Report the estimated effects (hazard ratio/odds ratio, confidence interval, and p value) of other prognostic factors included in multivariate analysis


4.1 Descriptive Statistics

Codes for Descriptive Statistics.23

4.1.1 Table One

Report Data properties via report 📦

mydata %>% dplyr::select(-dplyr::contains("Date")) %>% report::report()
The data contains 250 observations of the following variables:
  - ID: 250 entries: 001, n = 1; 002, n = 1; 003, n = 1 and 247 others
  - Name: 249 entries: Adiya, n = 1; Ahlani, n = 1; Ahlaysia, n = 1 and 246 others (1 missing)
  - Sex: 2 entries: Female, n = 134; Male, n = 115 (1 missing)
  - Age: Mean = 50.16, SD = 14.12, range = [25, 73], 1 missing
  - Race: 6 entries: White, n = 158; Hispanic, n = 37; Black, n = 28 and 3 others (1 missing)
  - PreinvasiveComponent: 2 entries: Absent, n = 201; Present, n = 48 (1 missing)
  - LVI: 2 entries: Absent, n = 152; Present, n = 98
  - PNI: 2 entries: Absent, n = 171; Present, n = 78 (1 missing)
  - Death: 2 levels: FALSE (n = 70); TRUE (n = 179) and missing (n = 1)
  - Group: 2 entries: Treatment, n = 127; Control, n = 122 (1 missing)
  - Grade: 3 entries: 3, n = 105; 1, n = 79; 2, n = 65 (1 missing)
  - TStage: 4 entries: 4, n = 109; 3, n = 62; 2, n = 51 and 1 other (1 missing)
  - Anti-X-intensity: Mean = 2.42, SD = 0.64, range = [1, 3], 1 missing
  - Anti-Y-intensity: Mean = 2.02, SD = 0.77, range = [1, 3], 1 missing
  - LymphNodeMetastasis: 2 entries: Absent, n = 148; Present, n = 101 (1 missing)
  - Valid: 2 levels: FALSE (n = 119); TRUE (n = 130) and missing (n = 1)
  - Smoker: 2 levels: FALSE (n = 129); TRUE (n = 120) and missing (n = 1)
  - Grade_Level: 3 entries: high, n = 104; low, n = 74; moderate, n = 71 (1 missing)
  - DeathTime: 2 entries: Within1Year, n = 149; MoreThan1Year, n = 101

Table 1 via arsenal 📦

# cat(names(mydata), sep = ' + \n')
library(arsenal)
tab1 <- arsenal::tableby(~Sex + Age + Race + PreinvasiveComponent + LVI + PNI + Death + 
    Group + Grade + TStage + `Anti-X-intensity` + `Anti-Y-intensity` + LymphNodeMetastasis + 
    Valid + Smoker + Grade_Level, data = mydata)
summary(tab1)
Overall (N=250)
Sex
   N-Miss 1
   Female 134 (53.8%)
   Male 115 (46.2%)
Age
   N-Miss 1
   Mean (SD) 50.157 (14.119)
   Range 25.000 - 73.000
Race
   N-Miss 1
   Asian 16 (6.4%)
   Bi-Racial 5 (2.0%)
   Black 28 (11.2%)
   Hispanic 37 (14.9%)
   Native 5 (2.0%)
   White 158 (63.5%)
PreinvasiveComponent
   N-Miss 1
   Absent 201 (80.7%)
   Present 48 (19.3%)
LVI
   Absent 152 (60.8%)
   Present 98 (39.2%)
PNI
   N-Miss 1
   Absent 171 (68.7%)
   Present 78 (31.3%)
Death
   N-Miss 1
   FALSE 70 (28.1%)
   TRUE 179 (71.9%)
Group
   N-Miss 1
   Control 122 (49.0%)
   Treatment 127 (51.0%)
Grade
   N-Miss 1
   1 79 (31.7%)
   2 65 (26.1%)
   3 105 (42.2%)
TStage
   N-Miss 1
   1 27 (10.8%)
   2 51 (20.5%)
   3 62 (24.9%)
   4 109 (43.8%)
Anti-X-intensity
   N-Miss 1
   Mean (SD) 2.422 (0.644)
   Range 1.000 - 3.000
Anti-Y-intensity
   N-Miss 1
   Mean (SD) 2.020 (0.775)
   Range 1.000 - 3.000
LymphNodeMetastasis
   N-Miss 1
   Absent 148 (59.4%)
   Present 101 (40.6%)
Valid
   N-Miss 1
   FALSE 119 (47.8%)
   TRUE 130 (52.2%)
Smoker
   N-Miss 1
   FALSE 129 (51.8%)
   TRUE 120 (48.2%)
Grade_Level
   N-Miss 1
   high 104 (41.8%)
   low 74 (29.7%)
   moderate 71 (28.5%)

Table 1 via tableone 📦

library(tableone)
mydata %>% select(-keycolumns, -dateVariables) %>% tableone::CreateTableOne(data = .)
                                    
                                     Overall      
  n                                    250        
  Sex = Male (%)                       115 (46.2) 
  Age (mean (SD))                    50.16 (14.12)
  Race (%)                                        
     Asian                              16 ( 6.4) 
     Bi-Racial                           5 ( 2.0) 
     Black                              28 (11.2) 
     Hispanic                           37 (14.9) 
     Native                              5 ( 2.0) 
     White                             158 (63.5) 
  PreinvasiveComponent = Present (%)    48 (19.3) 
  LVI = Present (%)                     98 (39.2) 
  PNI = Present (%)                     78 (31.3) 
  Death = TRUE (%)                     179 (71.9) 
  Group = Treatment (%)                127 (51.0) 
  Grade (%)                                       
     1                                  79 (31.7) 
     2                                  65 (26.1) 
     3                                 105 (42.2) 
  TStage (%)                                      
     1                                  27 (10.8) 
     2                                  51 (20.5) 
     3                                  62 (24.9) 
     4                                 109 (43.8) 
  Anti-X-intensity (mean (SD))        2.42 (0.64) 
  Anti-Y-intensity (mean (SD))        2.02 (0.77) 
  LymphNodeMetastasis = Present (%)    101 (40.6) 
  Valid = TRUE (%)                     130 (52.2) 
  Smoker = TRUE (%)                    120 (48.2) 
  Grade_Level (%)                                 
     high                              104 (41.8) 
     low                                74 (29.7) 
     moderate                           71 (28.5) 
  DeathTime = Within1Year (%)          149 (59.6) 

Descriptive Statistics of Continuous Variables

mydata %>% select(continiousVariables, numericVariables, integerVariables) %>% summarytools::descr(., 
    style = "rmarkdown")
print(summarytools::descr(mydata), method = "render", table.classes = "st-small")
mydata %>% summarytools::descr(., stats = "common", transpose = TRUE, headings = FALSE)
mydata %>% summarytools::descr(stats = "common") %>% summarytools::tb()
mydata$Sex %>% summarytools::freq(cumul = FALSE, report.nas = FALSE) %>% summarytools::tb()
mydata %>% explore::describe() %>% dplyr::filter(unique < 5)
               variable type na na_pct unique min mean max
1                   Sex  chr  1    0.4      3  NA   NA  NA
2  PreinvasiveComponent  chr  1    0.4      3  NA   NA  NA
3                   LVI  chr  0    0.0      2  NA   NA  NA
4                   PNI  chr  1    0.4      3  NA   NA  NA
5                 Death  lgl  1    0.4      3   0 0.72   1
6                 Group  chr  1    0.4      3  NA   NA  NA
7                 Grade  chr  1    0.4      4  NA   NA  NA
8      Anti-X-intensity  dbl  1    0.4      4   1 2.42   3
9      Anti-Y-intensity  dbl  1    0.4      4   1 2.02   3
10  LymphNodeMetastasis  chr  1    0.4      3  NA   NA  NA
11                Valid  lgl  1    0.4      3   0 0.52   1
12               Smoker  lgl  1    0.4      3   0 0.48   1
13          Grade_Level  chr  1    0.4      4  NA   NA  NA
14            DeathTime  chr  0    0.0      2  NA   NA  NA
mydata %>% explore::describe() %>% dplyr::filter(na > 0)
               variable type na na_pct unique min  mean max
1                  Name  chr  1    0.4    250  NA    NA  NA
2                   Sex  chr  1    0.4      3  NA    NA  NA
3                   Age  dbl  1    0.4     50  25 50.16  73
4                  Race  chr  1    0.4      7  NA    NA  NA
5  PreinvasiveComponent  chr  1    0.4      3  NA    NA  NA
6                   PNI  chr  1    0.4      3  NA    NA  NA
7      LastFollowUpDate  dat  1    0.4     13  NA    NA  NA
8                 Death  lgl  1    0.4      3   0  0.72   1
9                 Group  chr  1    0.4      3  NA    NA  NA
10                Grade  chr  1    0.4      4  NA    NA  NA
11               TStage  chr  1    0.4      5  NA    NA  NA
12     Anti-X-intensity  dbl  1    0.4      4   1  2.42   3
13     Anti-Y-intensity  dbl  1    0.4      4   1  2.02   3
14  LymphNodeMetastasis  chr  1    0.4      3  NA    NA  NA
15                Valid  lgl  1    0.4      3   0  0.52   1
16               Smoker  lgl  1    0.4      3   0  0.48   1
17          Grade_Level  chr  1    0.4      4  NA    NA  NA
18          SurgeryDate  dat  1    0.4    221  NA    NA  NA
mydata %>% explore::describe()
               variable type na na_pct unique min  mean max
1                    ID  chr  0    0.0    250  NA    NA  NA
2                  Name  chr  1    0.4    250  NA    NA  NA
3                   Sex  chr  1    0.4      3  NA    NA  NA
4                   Age  dbl  1    0.4     50  25 50.16  73
5                  Race  chr  1    0.4      7  NA    NA  NA
6  PreinvasiveComponent  chr  1    0.4      3  NA    NA  NA
7                   LVI  chr  0    0.0      2  NA    NA  NA
8                   PNI  chr  1    0.4      3  NA    NA  NA
9      LastFollowUpDate  dat  1    0.4     13  NA    NA  NA
10                Death  lgl  1    0.4      3   0  0.72   1
11                Group  chr  1    0.4      3  NA    NA  NA
12                Grade  chr  1    0.4      4  NA    NA  NA
13               TStage  chr  1    0.4      5  NA    NA  NA
14     Anti-X-intensity  dbl  1    0.4      4   1  2.42   3
15     Anti-Y-intensity  dbl  1    0.4      4   1  2.02   3
16  LymphNodeMetastasis  chr  1    0.4      3  NA    NA  NA
17                Valid  lgl  1    0.4      3   0  0.52   1
18               Smoker  lgl  1    0.4      3   0  0.48   1
19          Grade_Level  chr  1    0.4      4  NA    NA  NA
20          SurgeryDate  dat  1    0.4    221  NA    NA  NA
21            DeathTime  chr  0    0.0      2  NA    NA  NA

4.1.2 Categorical Variables

Use R/gc_desc_cat.R to generate gc_desc_cat.Rmd containing descriptive statistics for categorical variables

source(here::here("R", "gc_desc_cat.R"))

4.1.2.1 Descriptive Statistics Sex

mydata %>% janitor::tabyl(Sex) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
Sex n percent valid_percent
Female 134 53.6% 53.8%
Male 115 46.0% 46.2%
NA 1 0.4% -

4.1.2.2 Descriptive Statistics Race

mydata %>% janitor::tabyl(Race) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
Race n percent valid_percent
Asian 16 6.4% 6.4%
Bi-Racial 5 2.0% 2.0%
Black 28 11.2% 11.2%
Hispanic 37 14.8% 14.9%
Native 5 2.0% 2.0%
White 158 63.2% 63.5%
NA 1 0.4% -

4.1.2.3 Descriptive Statistics PreinvasiveComponent

mydata %>% janitor::tabyl(PreinvasiveComponent) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
PreinvasiveComponent n percent valid_percent
Absent 201 80.4% 80.7%
Present 48 19.2% 19.3%
NA 1 0.4% -

4.1.2.4 Descriptive Statistics LVI

mydata %>% janitor::tabyl(LVI) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
LVI n percent
Absent 152 60.8%
Present 98 39.2%

4.1.2.5 Descriptive Statistics PNI

mydata %>% janitor::tabyl(PNI) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
PNI n percent valid_percent
Absent 171 68.4% 68.7%
Present 78 31.2% 31.3%
NA 1 0.4% -

4.1.2.6 Descriptive Statistics Group

mydata %>% janitor::tabyl(Group) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
Group n percent valid_percent
Control 122 48.8% 49.0%
Treatment 127 50.8% 51.0%
NA 1 0.4% -

4.1.2.7 Descriptive Statistics Grade

mydata %>% janitor::tabyl(Grade) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
Grade n percent valid_percent
1 79 31.6% 31.7%
2 65 26.0% 26.1%
3 105 42.0% 42.2%
NA 1 0.4% -

4.1.2.8 Descriptive Statistics TStage

mydata %>% janitor::tabyl(TStage) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
TStage n percent valid_percent
1 27 10.8% 10.8%
2 51 20.4% 20.5%
3 62 24.8% 24.9%
4 109 43.6% 43.8%
NA 1 0.4% -

4.1.2.9 Descriptive Statistics LymphNodeMetastasis

mydata %>% janitor::tabyl(LymphNodeMetastasis) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
LymphNodeMetastasis n percent valid_percent
Absent 148 59.2% 59.4%
Present 101 40.4% 40.6%
NA 1 0.4% -

4.1.2.10 Descriptive Statistics Grade_Level

mydata %>% janitor::tabyl(Grade_Level) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
Grade_Level n percent valid_percent
high 104 41.6% 41.8%
low 74 29.6% 29.7%
moderate 71 28.4% 28.5%
NA 1 0.4% -

4.1.2.11 Descriptive Statistics DeathTime

mydata %>% janitor::tabyl(DeathTime) %>% janitor::adorn_pct_formatting(rounding = "half up", 
    digits = 1) %>% knitr::kable()
DeathTime n percent
MoreThan1Year 101 40.4%
Within1Year 149 59.6%
race_stats <- summarytools::freq(mydata$Race)
print(race_stats, report.nas = FALSE, totals = FALSE, display.type = FALSE, Variable.label = "Race Group")
mydata %>% explore::describe(PreinvasiveComponent)
variable = PreinvasiveComponent
type     = character
na       = 1 of 250 (0.4%)
unique   = 3
 Absent  = 201 (80.4%)
 Present = 48 (19.2%)
 NA      = 1 (0.4%)
## Frequency or custom tables for categorical variables
SmartEDA::ExpCTable(mydata, Target = NULL, margin = 1, clim = 10, nlim = 5, round = 2, 
    bin = NULL, per = T)
               Variable         Valid Frequency Percent CumPercent
1                   Sex        Female       134    53.6       53.6
2                   Sex          Male       115    46.0       99.6
3                   Sex            NA         1     0.4      100.0
4                   Sex         TOTAL       250      NA         NA
5                  Race         Asian        16     6.4        6.4
6                  Race     Bi-Racial         5     2.0        8.4
7                  Race         Black        28    11.2       19.6
8                  Race      Hispanic        37    14.8       34.4
9                  Race            NA         1     0.4       34.8
10                 Race        Native         5     2.0       36.8
11                 Race         White       158    63.2      100.0
12                 Race         TOTAL       250      NA         NA
13 PreinvasiveComponent        Absent       201    80.4       80.4
14 PreinvasiveComponent            NA         1     0.4       80.8
15 PreinvasiveComponent       Present        48    19.2      100.0
16 PreinvasiveComponent         TOTAL       250      NA         NA
17                  LVI        Absent       152    60.8       60.8
18                  LVI       Present        98    39.2      100.0
19                  LVI         TOTAL       250      NA         NA
20                  PNI        Absent       171    68.4       68.4
21                  PNI            NA         1     0.4       68.8
22                  PNI       Present        78    31.2      100.0
23                  PNI         TOTAL       250      NA         NA
24                Group       Control       122    48.8       48.8
25                Group            NA         1     0.4       49.2
26                Group     Treatment       127    50.8      100.0
27                Group         TOTAL       250      NA         NA
28                Grade             1        79    31.6       31.6
29                Grade             2        65    26.0       57.6
30                Grade             3       105    42.0       99.6
31                Grade            NA         1     0.4      100.0
32                Grade         TOTAL       250      NA         NA
33               TStage             1        27    10.8       10.8
34               TStage             2        51    20.4       31.2
35               TStage             3        62    24.8       56.0
36               TStage             4       109    43.6       99.6
37               TStage            NA         1     0.4      100.0
38               TStage         TOTAL       250      NA         NA
39  LymphNodeMetastasis        Absent       148    59.2       59.2
40  LymphNodeMetastasis            NA         1     0.4       59.6
41  LymphNodeMetastasis       Present       101    40.4      100.0
42  LymphNodeMetastasis         TOTAL       250      NA         NA
43          Grade_Level          high       104    41.6       41.6
44          Grade_Level           low        74    29.6       71.2
45          Grade_Level      moderate        71    28.4       99.6
46          Grade_Level            NA         1     0.4      100.0
47          Grade_Level         TOTAL       250      NA         NA
48            DeathTime MoreThan1Year       101    40.4       40.4
49            DeathTime   Within1Year       149    59.6      100.0
50            DeathTime         TOTAL       250      NA         NA
51     Anti-X-intensity             1        21     8.4        8.4
52     Anti-X-intensity             2       102    40.8       49.2
53     Anti-X-intensity             3       126    50.4       99.6
54     Anti-X-intensity            NA         1     0.4      100.0
55     Anti-X-intensity         TOTAL       250      NA         NA
56     Anti-Y-intensity             1        72    28.8       28.8
57     Anti-Y-intensity             2       100    40.0       68.8
58     Anti-Y-intensity             3        77    30.8       99.6
59     Anti-Y-intensity            NA         1     0.4      100.0
60     Anti-Y-intensity         TOTAL       250      NA         NA
inspectdf::inspect_cat(mydata)
# A tibble: 16 x 5
   col_name               cnt common      common_pcnt levels            
   <chr>                <int> <chr>             <dbl> <named list>      
 1 Death                    3 TRUE               71.6 <tibble [3 × 3]>  
 2 DeathTime                2 Within1Year        59.6 <tibble [2 × 3]>  
 3 Grade                    4 3                  42   <tibble [4 × 3]>  
 4 Grade_Level              4 high               41.6 <tibble [4 × 3]>  
 5 Group                    3 Treatment          50.8 <tibble [3 × 3]>  
 6 ID                     250 001                 0.4 <tibble [250 × 3]>
 7 LVI                      2 Absent             60.8 <tibble [2 × 3]>  
 8 LymphNodeMetastasis      3 Absent             59.2 <tibble [3 × 3]>  
 9 Name                   250 Adiya               0.4 <tibble [250 × 3]>
10 PNI                      3 Absent             68.4 <tibble [3 × 3]>  
11 PreinvasiveComponent     3 Absent             80.4 <tibble [3 × 3]>  
12 Race                     7 White              63.2 <tibble [7 × 3]>  
13 Sex                      3 Female             53.6 <tibble [3 × 3]>  
14 Smoker                   3 FALSE              51.6 <tibble [3 × 3]>  
15 TStage                   5 4                  43.6 <tibble [5 × 3]>  
16 Valid                    3 TRUE               52   <tibble [3 × 3]>  
inspectdf::inspect_cat(mydata)$levels$Group
# A tibble: 3 x 3
  value      prop   cnt
  <chr>     <dbl> <int>
1 Treatment 0.508   127
2 Control   0.488   122
3 <NA>      0.004     1

4.1.2.12 Split-Group Stats Categorical

library(summarytools)

grouped_freqs <- stby(data = mydata$Smoker, INDICES = mydata$Sex, FUN = freq, cumul = FALSE, 
    report.nas = FALSE)

grouped_freqs %>% tb(order = 2)

4.1.2.13 Grouped Categorical

summarytools::stby(list(x = mydata$LVI, y = mydata$LymphNodeMetastasis), mydata$PNI, 
    summarytools::ctable)
with(mydata, summarytools::stby(list(x = LVI, y = LymphNodeMetastasis), PNI, summarytools::ctable))
SmartEDA::ExpCTable(mydata, Target = "Sex", margin = 1, clim = 10, nlim = NULL, round = 2, 
    bin = 4, per = F)
               VARIABLE      CATEGORY Sex:Female Sex:Male Sex:NA TOTAL
1                  Race         Asian          9        7      0    16
2                  Race     Bi-Racial          3        2      0     5
3                  Race         Black         21        7      0    28
4                  Race      Hispanic         19       18      0    37
5                  Race            NA          0        1      0     1
6                  Race        Native          4        1      0     5
7                  Race         White         78       79      1   158
8                  Race         TOTAL        134      115      1   250
9  PreinvasiveComponent        Absent        108       92      1   201
10 PreinvasiveComponent            NA          1        0      0     1
11 PreinvasiveComponent       Present         25       23      0    48
12 PreinvasiveComponent         TOTAL        134      115      1   250
13                  LVI        Absent         77       74      1   152
14                  LVI       Present         57       41      0    98
15                  LVI         TOTAL        134      115      1   250
16                  PNI        Absent         98       73      0   171
17                  PNI            NA          0        1      0     1
18                  PNI       Present         36       41      1    78
19                  PNI         TOTAL        134      115      1   250
20                Group       Control         70       52      0   122
21                Group            NA          0        1      0     1
22                Group     Treatment         64       62      1   127
23                Group         TOTAL        134      115      1   250
24                Grade             1         46       32      1    79
25                Grade             2         35       30      0    65
26                Grade             3         52       53      0   105
27                Grade            NA          1        0      0     1
28                Grade         TOTAL        134      115      1   250
29               TStage             1         16       11      0    27
30               TStage             2         29       21      1    51
31               TStage             3         32       30      0    62
32               TStage             4         57       52      0   109
33               TStage            NA          0        1      0     1
34               TStage         TOTAL        134      115      1   250
35  LymphNodeMetastasis        Absent         80       68      0   148
36  LymphNodeMetastasis            NA          1        0      0     1
37  LymphNodeMetastasis       Present         53       47      1   101
38  LymphNodeMetastasis         TOTAL        134      115      1   250
39          Grade_Level          high         61       43      0   104
40          Grade_Level           low         42       31      1    74
41          Grade_Level      moderate         31       40      0    71
42          Grade_Level            NA          0        1      0     1
43          Grade_Level         TOTAL        134      115      1   250
44            DeathTime MoreThan1Year         53       47      1   101
45            DeathTime   Within1Year         81       68      0   149
46            DeathTime         TOTAL        134      115      1   250
47     Anti-X-intensity             1         12        9      0    21
48     Anti-X-intensity             2         53       48      1   102
49     Anti-X-intensity             3         69       57      0   126
50     Anti-X-intensity            NA          0        1      0     1
51     Anti-X-intensity         TOTAL        134      115      1   250
52     Anti-Y-intensity             1         40       32      0    72
53     Anti-Y-intensity             2         56       44      0   100
54     Anti-Y-intensity             3         38       38      1    77
55     Anti-Y-intensity            NA          0        1      0     1
56     Anti-Y-intensity         TOTAL        134      115      1   250
mydata %>% select(characterVariables) %>% select(PreinvasiveComponent, PNI, LVI) %>% 
    reactable::reactable(data = ., groupBy = c("PreinvasiveComponent", "PNI"), columns = list(LVI = reactable::colDef(aggregate = "count")))

4.1.3 Continious Variables

questionr:::icut()
source(here::here("R", "gc_desc_cont.R"))

Descriptive Statistics Age

mydata %>% jmv::descriptives(data = ., vars = "Age", hist = TRUE, dens = TRUE, box = TRUE, 
    violin = TRUE, dot = TRUE, mode = TRUE, sd = TRUE, variance = TRUE, skew = TRUE, 
    kurt = TRUE, quart = TRUE)

 DESCRIPTIVES

 Descriptives                       
 ────────────────────────────────── 
                          Age       
 ────────────────────────────────── 
   N                          249   
   Missing                      1   
   Mean                      50.2   
   Median                    51.0   
   Mode                      63.0   
   Standard deviation        14.1   
   Variance                   199   
   Minimum                   25.0   
   Maximum                   73.0   
   Skewness               -0.0947   
   Std. error skewness      0.154   
   Kurtosis                 -1.21   
   Std. error kurtosis      0.307   
   25th percentile           39.0   
   50th percentile           51.0   
   75th percentile           63.0   
 ────────────────────────────────── 

Descriptive Statistics Anti-X-intensity

mydata %>% jmv::descriptives(data = ., vars = "Anti-X-intensity", hist = TRUE, dens = TRUE, 
    box = TRUE, violin = TRUE, dot = TRUE, mode = TRUE, sd = TRUE, variance = TRUE, 
    skew = TRUE, kurt = TRUE, quart = TRUE)

 DESCRIPTIVES

 Descriptives                                
 ─────────────────────────────────────────── 
                          Anti-X-intensity   
 ─────────────────────────────────────────── 
   N                                   249   
   Missing                               1   
   Mean                               2.42   
   Median                             3.00   
   Mode                               3.00   
   Standard deviation                0.644   
   Variance                          0.414   
   Minimum                            1.00   
   Maximum                            3.00   
   Skewness                         -0.665   
   Std. error skewness               0.154   
   Kurtosis                         -0.554   
   Std. error kurtosis               0.307   
   25th percentile                    2.00   
   50th percentile                    3.00   
   75th percentile                    3.00   
 ─────────────────────────────────────────── 

Descriptive Statistics Anti-Y-intensity

mydata %>% jmv::descriptives(data = ., vars = "Anti-Y-intensity", hist = TRUE, dens = TRUE, 
    box = TRUE, violin = TRUE, dot = TRUE, mode = TRUE, sd = TRUE, variance = TRUE, 
    skew = TRUE, kurt = TRUE, quart = TRUE)

 DESCRIPTIVES

 Descriptives                                
 ─────────────────────────────────────────── 
                          Anti-Y-intensity   
 ─────────────────────────────────────────── 
   N                                   249   
   Missing                               1   
   Mean                               2.02   
   Median                             2.00   
   Mode                               2.00   
   Standard deviation                0.775   
   Variance                          0.600   
   Minimum                            1.00   
   Maximum                            3.00   
   Skewness                        -0.0347   
   Std. error skewness               0.154   
   Kurtosis                          -1.33   
   Std. error kurtosis               0.307   
   25th percentile                    1.00   
   50th percentile                    2.00   
   75th percentile                    3.00   
 ─────────────────────────────────────────── 

tab <- tableone::CreateTableOne(data = mydata)
# ?print.ContTable
tab$ContTable
                              
                               Overall      
  n                            250          
  Age (mean (SD))              50.16 (14.12)
  Anti-X-intensity (mean (SD))  2.42 (0.64) 
  Anti-Y-intensity (mean (SD))  2.02 (0.77) 
print(tab$ContTable, nonnormal = c("Anti-X-intensity"))
                                 
                                  Overall           
  n                               250               
  Age (mean (SD))                 50.16 (14.12)     
  Anti-X-intensity (median [IQR])  3.00 [2.00, 3.00]
  Anti-Y-intensity (mean (SD))     2.02 (0.77)      
mydata %>% explore::describe(Age)
variable = Age
type     = double
na       = 1 of 250 (0.4%)
unique   = 50
min|max  = 25 | 73
q05|q95  = 27 | 71
q25|q75  = 39 | 63
median   = 51
mean     = 50.15663
mydata %>% select(continiousVariables) %>% SmartEDA::ExpNumStat(data = ., by = "A", 
    gp = NULL, Qnt = seq(0, 1, 0.1), MesofShape = 2, Outlier = TRUE, round = 2)
inspectdf::inspect_num(mydata, breaks = 10)
# A tibble: 3 x 10
  col_name        min    q1 median  mean    q3   max     sd pcnt_na hist        
  <chr>         <dbl> <dbl>  <dbl> <dbl> <dbl> <dbl>  <dbl>   <dbl> <named list>
1 Age              25    39     51 50.2     63    73 14.1       0.4 <tibble [12…
2 Anti-X-inten…     1     2      3  2.42     3     3  0.644     0.4 <tibble [12…
3 Anti-Y-inten…     1     1      2  2.02     3     3  0.775     0.4 <tibble [12…
inspectdf::inspect_num(mydata)$hist$Age
# A tibble: 27 x 2
   value        prop
   <chr>       <dbl>
 1 [-Inf, 24) 0     
 2 [24, 26)   0.0281
 3 [26, 28)   0.0321
 4 [28, 30)   0.0201
 5 [30, 32)   0.0402
 6 [32, 34)   0.0361
 7 [34, 36)   0.0241
 8 [36, 38)   0.0402
 9 [38, 40)   0.0562
10 [40, 42)   0.0522
# … with 17 more rows
inspectdf::inspect_num(mydata, breaks = 10) %>% inspectdf::show_plot()

4.1.3.1 Split-Group Stats Continious

grouped_descr <- summarytools::stby(data = mydata, INDICES = mydata$Sex, FUN = summarytools::descr, 
    stats = "common")
# grouped_descr %>% summarytools::tb(order = 2)
grouped_descr %>% summarytools::tb()

4.1.3.2 Grouped Continious

summarytools::stby(data = mydata, INDICES = mydata$PreinvasiveComponent, FUN = summarytools::descr, 
    stats = c("mean", "sd", "min", "med", "max"), transpose = TRUE)
with(mydata, summarytools::stby(Age, PreinvasiveComponent, summarytools::descr), 
    stats = c("mean", "sd", "min", "med", "max"), transpose = TRUE)
mydata %>% group_by(PreinvasiveComponent) %>% summarytools::descr(stats = "fivenum")
## Summary statistics by – category
SmartEDA::ExpNumStat(mydata, by = "GA", gp = "PreinvasiveComponent", Qnt = seq(0, 
    1, 0.1), MesofShape = 2, Outlier = TRUE, round = 2)
  Vname                        Group  TN nNeg nZero nPos NegInf PosInf NA_Value
1   Age     PreinvasiveComponent:All 250    0     0  249      0      0        1
2   Age  PreinvasiveComponent:Absent 201    0     0  201      0      0        0
3   Age PreinvasiveComponent:Present  48    0     0   48      0      0        0
4   Age      PreinvasiveComponent:NA   0    0     0    0      0      0        0
  Per_of_Missing   sum min  max  mean median    SD   CV   IQR Skewness Kurtosis
1            0.4 12489  25   73 50.16     51 14.12 0.28 24.00    -0.09    -1.21
2            0.0 10057  25   73 50.03     51 14.22 0.28 25.00    -0.11    -1.21
3            0.0  2432  25   73 50.67     51 13.84 0.27 26.25    -0.03    -1.23
4            NaN     0 Inf -Inf   NaN     NA    NA   NA    NA      NaN      NaN
  0%  10%  20%  30%  40% 50%  60%  70%  80% 90% 100% LB.25% UB.75% nOutliers
1 25 30.8 37.0 40.0 45.2  51 55.0 61.0 65.0  69   73   3.00  99.00         0
2 25 30.0 36.0 40.0 46.0  51 55.0 61.0 65.0  69   73   0.50 100.50         0
3 25 33.1 38.4 41.1 45.0  51 54.2 59.8 66.6  69   73  -0.38 104.62         0
4 NA   NA   NA   NA   NA  NA   NA   NA   NA  NA   NA     NA     NA         0

4.2 Survival Analysis

Codes for Survival Analysis24

  • Survival analysis with strata, clusters, frailties and competing risks in in Finalfit

https://www.datasurg.net/2019/09/12/survival-analysis-with-strata-clusters-frailties-and-competing-risks-in-in-finalfit/

  • Intracranial WHO grade I meningioma: a competing risk analysis of progression and disease-specific survival

https://link.springer.com/article/10.1007/s00701-019-04096-9

Calculate survival time

mydata$int <- lubridate::interval(lubridate::ymd(mydata$SurgeryDate), lubridate::ymd(mydata$LastFollowUpDate))
mydata$OverallTime <- lubridate::time_length(mydata$int, "month")
mydata$OverallTime <- round(mydata$OverallTime, digits = 1)

recode death status outcome as numbers for survival analysis

## Recoding mydata$Death into mydata$Outcome
mydata$Outcome <- forcats::fct_recode(as.character(mydata$Death), `1` = "TRUE", `0` = "FALSE")
mydata$Outcome <- as.numeric(as.character(mydata$Outcome))

it is always a good practice to double-check after recoding25

table(mydata$Death, mydata$Outcome)
       
          0   1
  FALSE  70   0
  TRUE    0 179

4.2.1 Kaplan-Meier

library(survival)
# data(lung) km <- with(lung, Surv(time, status))
km <- with(mydata, Surv(OverallTime, Outcome))
head(km, 80)
 [1]  9.8  11.4   4.4   4.7  10.1   7.8   7.7   7.6+  8.4+ 11.4   6.9+  6.7 
[13]  3.0   4.0  11.7+  3.9+  7.1  11.3  11.3+  5.4   5.9+  3.7   9.3  11.3 
[25]  4.5   8.4   9.1   8.2+  4.5  11.0   9.9   7.7   3.7+  4.0  10.8+  3.1 
[37] 10.6   7.3+  5.4   3.8   9.6+  5.8   4.5+  5.9  10.3   8.6  11.6   4.7 
[49]  4.3  11.5   6.0   9.8   6.9  10.0   3.7+  4.2  10.1+  8.1   5.7  10.5+
[61]  9.9+  6.7   3.2  11.0+  4.5   4.6   8.0   8.1   9.3+  5.7+ 11.5+  8.3+
[73]  5.3+  6.0+ 10.7   7.3   4.6   5.1+  8.8+ 11.2 
plot(km)

Kaplan-Meier Plot Log-Rank Test

# Drawing Survival Curves Using ggplot2
# https://rpkgs.datanovia.com/survminer/reference/ggsurvplot.html
dependentKM <- "Surv(OverallTime, Outcome)"
explanatoryKM <- "LVI"

mydata %>%
  finalfit::surv_plot(.data = .,
                      dependent = dependentKM,
                      explanatory = explanatoryKM,
                      xlab='Time (months)',
                      pval=TRUE,
                      legend = 'none',
                      break.time.by = 12,
                      xlim = c(0,60)
                      # legend.labs = c('a','b')
                      )

# Drawing Survival Curves Using ggplot2
# https://rpkgs.datanovia.com/survminer/reference/ggsurvplot.html

mydata %>%
  finalfit::surv_plot(.data = .,
                      dependent = "Surv(OverallTime, Outcome)",
                      explanatory = "LVI",
                      xlab='Time (months)',
                      pval=TRUE,
                      legend = 'none',
                      break.time.by = 12,
                      xlim = c(0,60)
                      # legend.labs = c('a','b')
                      )

4.2.2 Univariate Cox-Regression

library(finalfit)
library(survival)
explanatoryUni <- "LVI"
dependentUni <- "Surv(OverallTime, Outcome)"

tUni <- mydata %>% finalfit::finalfit(dependentUni, explanatoryUni)

knitr::kable(tUni, row.names = FALSE, align = c("l", "l", "r", "r", "r", "r"))
Dependent: Surv(OverallTime, Outcome) all HR (univariable) HR (multivariable)
LVI Absent 152 (100.0) NA NA
Present 98 (100.0) 1.42 (1.04-1.94, p=0.025) 1.42 (1.04-1.94, p=0.025)
tUni_df <- tibble::as_tibble(tUni, .name_repair = "minimal") %>% janitor::clean_names()

tUni_df_descr <- paste0("When ", tUni_df$dependent_surv_overall_time_outcome[1], 
    " is ", tUni_df$x[2], ", there is ", tUni_df$hr_univariable[2], " times risk than ", 
    "when ", tUni_df$dependent_surv_overall_time_outcome[1], " is ", tUni_df$x[1], 
    ".")

When LVI is Present, there is 1.42 (1.04-1.94, p=0.025) times risk than when LVI is Absent.

4.2.3 Kaplan-Meier Median Survival

km_fit <- survfit(Surv(OverallTime, Outcome) ~ LVI, data = mydata)
km_fit
Call: survfit(formula = Surv(OverallTime, Outcome) ~ LVI, data = mydata)

   3 observations deleted due to missingness 
              n events median 0.95LCL 0.95UCL
LVI=Absent  151    112   20.4    14.7    26.8
LVI=Present  96     65   10.7     9.1    13.4
plot(km_fit)

# summary(km_fit)
km_fit_median_df <- summary(km_fit)
km_fit_median_df <- as.data.frame(km_fit_median_df$table) %>% janitor::clean_names() %>% 
    tibble::rownames_to_column()
km_fit_median_definition <- km_fit_median_df %>% dplyr::mutate(description = glue::glue("When {rowname}, median survival is {median} [{x0_95lcl} - {x0_95ucl}, 95% CI] months.")) %>% 
    dplyr::select(description) %>% pull()

When LVI=Absent, median survival is 20.4 [14.7 - 26.8, 95% CI] months., When LVI=Present, median survival is 10.7 [9.1 - 13.4, 95% CI] months.

4.2.4 1-3-5-yr survival

summary(km_fit, times = c(12, 36, 60))
Call: survfit(formula = Surv(OverallTime, Outcome) ~ LVI, data = mydata)

3 observations deleted due to missingness 
                LVI=Absent 
 time n.risk n.event survival std.err lower 95% CI upper 95% CI
   12     76      54    0.610  0.0419        0.533        0.698
   36     19      41    0.219  0.0404        0.152        0.314

                LVI=Present 
 time n.risk n.event survival std.err lower 95% CI upper 95% CI
   12     22      49    0.386  0.0570       0.2893        0.516
   36      5      12    0.152  0.0489       0.0808        0.286
km_fit_summary <- summary(km_fit, times = c(12, 36, 60))

km_fit_df <- as.data.frame(km_fit_summary[c("strata", "time", "n.risk", "n.event", 
    "surv", "std.err", "lower", "upper")])
km_fit_definition <- km_fit_df %>% dplyr::mutate(description = glue::glue("When {strata}, {time} month survival is {scales::percent(surv)} [{scales::percent(lower)}-{scales::percent(upper)}, 95% CI].")) %>% 
    dplyr::select(description) %>% pull()

When LVI=Absent, 12 month survival is 61.0% [53.3%-69.8%, 95% CI]., When LVI=Absent, 36 month survival is 21.9% [15.2%-31.4%, 95% CI]., When LVI=Present, 12 month survival is 38.6% [28.9%-51.6%, 95% CI]., When LVI=Present, 36 month survival is 15.2% [8.1%-28.6%, 95% CI].

4.2.5 Pairwise comparison

dependentKM <- "Surv(OverallTime, Outcome)"
explanatoryKM <- "TStage"

mydata %>%
  finalfit::surv_plot(.data = .,
                      dependent = dependentKM,
                      explanatory = explanatoryKM,
                      xlab='Time (months)',
                      pval=TRUE,
                      legend = 'none',
                      break.time.by = 12,
                      xlim = c(0,60)
                      # legend.labs = c('a','b')
                      )

4.2.6 Multivariate Analysis Survival



5 Discussion

  • Interpret the results in context of the working hypothesis elaborated in the introduction and other relevant studies; include a discussion of limitations of the study.

  • Discuss potential clinical applications and implications for future research

References

Knijn, N., F. Simmer, and I. D. Nagtegaal. 2015. “Recommendations for Reporting Histopathology Studies: A Proposal.” Virchows Archiv 466 (6): 611–15. https://doi.org/10.1007/s00428-015-1762-3.

Schmidt, Robert L., Deborah J. Chute, Jorie M. Colbert-Getz, Adolfo Firpo-Betancourt, Daniel S. James, Julie K. Karp, Douglas C. Miller, et al. 2017. “Statistical Literacy Among Academic Pathologists: A Survey Study to Gauge Knowledge of Frequently Used Statistical Tests Among Trainees and Faculty.” Archives of Pathology & Laboratory Medicine 141 (2): 279–87. https://doi.org/10.5858/arpa.2016-0200-OA.


  1. From Table 1: Proposed items for reporting histopathology studies. Recommendations for reporting histopathology studies: a proposal Virchows Arch (2015) 466:611–615 DOI 10.1007/s00428-015-1762-3↩︎

  2. From Table 1: Proposed items for reporting histopathology studies. Recommendations for reporting histopathology studies: a proposal Virchows Arch (2015) 466:611–615 DOI 10.1007/s00428-015-1762-3↩︎

  3. See childRmd/_01header.Rmd file for other general settings↩︎

  4. Change echo = FALSE to hide codes after knitting.↩︎

  5. See childRmd/_02fakeData.Rmd file for other codes↩︎

  6. Synthea The validity of synthetic clinical data: a validation study of a leading synthetic data generator (Synthea) using clinical quality measures. BMC Med Inform Decis Mak 19, 44 (2019) doi:10.1186/s12911-019-0793-0↩︎

  7. https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-019-0793-0↩︎

  8. Synthetic Patient Generation↩︎

  9. Basic Setup and Running↩︎

  10. intelligent patient data generator (iPDG)↩︎

  11. https://medium.com/free-code-camp/how-our-test-data-generator-makes-fake-data-look-real-ace01c5bde4a↩︎

  12. https://forums.librehealth.io/t/demo-data-generation/203↩︎

  13. https://mihin.org/services/patient-generator/↩︎

  14. lung, cancer, breast datası ile birleştir↩︎

  15. See childRmd/_03importData.Rmd file for other codes↩︎

  16. See childRmd/_04briefSummary.Rmd file for other codes↩︎

  17. https://www.hhs.gov/hipaa/index.html↩︎

  18. Kişisel verilerin kaydedilmesi ve kişisel verileri hukuka aykırı olarak verme veya ele geçirme Türk Ceza Kanunu’nun 135. ve 136. maddesi kapsamında bizim hukuk sistemimizde suç olarak tanımlanmıştır. Kişisel verilerin kaydedilmesi suçunun cezası 1 ila 3 yıl hapis cezasıdır. Suçun nitelikli hali ise, kamu görevlisi tarafından görevin verdiği yetkinin kötüye kullanılarak veya belirli bir meslek veya sanatın sağladığı kolaylıktan yararlanılarak işlenmesidir ki bu durumda suçun cezası 1.5 ile 4.5 yıl hapis cezası olacaktır.↩︎

  19. See childRmd/_06variableTypes.Rmd file for other codes↩︎

  20. See childRmd/_07overView.Rmd file for other codes↩︎

  21. Statistical Literacy Among Academic Pathologists: A Survey Study to Gauge Knowledge of Frequently Used Statistical Tests Among Trainees and Faculty. Archives of Pathology & Laboratory Medicine: February 2017, Vol. 141, No. 2, pp. 279-287. https://doi.org/10.5858/arpa.2016-0200-OA↩︎

  22. From Table 1: Proposed items for reporting histopathology studies. Recommendations for reporting histopathology studies: a proposal Virchows Arch (2015) 466:611–615 DOI 10.1007/s00428-015-1762-3↩︎

  23. See childRmd/_11descriptives.Rmd file for other codes↩︎

  24. See childRmd/_18survival.Rmd file for other codes, and childRmd/_19shinySurvival.Rmd for shiny application↩︎

  25. JAMA retraction after miscoding – new Finalfit function to check recoding↩︎

  26. See childRmd/_23footer.Rmd file for other codes↩︎

  27. Smith AM, Katz DS, Niemeyer KE, FORCE11 Software Citation Working Group. (2016) Software Citation Principles. PeerJ Computer Science 2:e86. DOI: 10.7717/peerj-cs.86 https://www.force11.org/software-citation-principles↩︎

 

A work by Serdar Balci

drserdarbalci@gmail.com